{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T19:08:41Z","timestamp":1777921721809,"version":"3.51.4"},"reference-count":24,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2025,6,1]],"date-time":"2025-06-01T00:00:00Z","timestamp":1748736000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Laparoendoscopic &amp; Advanced Surgical Techniques"],"published-print":{"date-parts":[[2025,6,1]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>The analysis of postoperative pain has gained prominence as an important outcome following inguinal hernia repair (IHR), and various strategies have been employed. However, the use of erector spinae plane block (ESPB) in IHR is debated. Therefore, this systematic review and meta-analysis evaluates their efficacy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We searched PubMed, Embase, Cochrane, and Web of Science for randomized controlled trials (RCTs), comparing the impact of ESPB on pain outcomes following IHR. Outcomes included pain using the visual analog scale (VAS) at 2, 6, 12, and 24 hours after surgery and postoperative nausea and vomiting (PONV) rates. Statistical analyses were performed using R software and trial sequential analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      We included three RCTs comprising 145 patients, of which 66 (45.5%) were submitted to ESPB. Between the included studies, two analyzed minimally invasive IHR, while one analyzed the open Lichtenstein technique. We found no differences in VAS pain scores at 2 hours (MD: \u22120.56; 95% CI: [\u22123.53; 2.42];\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .71) and at 6 hours (MD: \u22121.13; 95% CI: [\u22122.50; 0.23];\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .1) postoperatively. Also, no clinically or statistically significant differences were found in the VAS score for ESPB at 12 hours (MD: \u22120.96; 95% CI: [\u22121.94; \u2212.02];\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .051) and 24 hours postoperatively (MD: \u22120.19; 95% CI: [\u22120.53; .15];\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .28). No statistically significant differences were found in PONV rates between the groups (7.6% versus 20.3%; RR 0.38; 95% CI: [0.14; 1.0];\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This meta-analysis found no differences in postoperative pain scores or PONV between the ESPB and control groups. Further studies are necessary to better understand the role of ESPB in inguinal hernia repair.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/lap.2025.0020","type":"journal-article","created":{"date-parts":[[2025,4,26]],"date-time":"2025-04-26T04:32:51Z","timestamp":1745641971000},"page":"445-450","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["The Analgesic Impact of Erector Spinae Plane Block in Inguinal Hernia Repair: A Systematic Review and Meta-Analysis of Randomized Controlled Trials"],"prefix":"10.1177","volume":"35","author":[{"given":"Camila N.B. de","family":"Oliveira","sequence":"first","affiliation":[{"name":"Hospital Universit\u00e1rio Clementino Fraga Filho, Rio de Janeiro, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Augusto","family":"Graziani e Sousa","sequence":"additional","affiliation":[{"name":"Centro Universit\u00e1rio de An\u00e1polis, An\u00e1polis, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2428-0620","authenticated-orcid":false,"given":"Carlos A.","family":"Balthazar da Silveira","sequence":"additional","affiliation":[{"name":"Bahiana School of Medicine and Public Health, Salvador, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jo\u00e3o P.G.","family":"Kasakewitch","sequence":"additional","affiliation":[{"name":"Department of Surgery, Beth Israel Deaconess Medical Center, Boston, Massachusetts."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Diego","family":"Camacho","sequence":"additional","affiliation":[{"name":"Department of Surgery, Montefiore Medical Center, Bronx, New York."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Flavio","family":"Malcher","sequence":"additional","affiliation":[{"name":"Lenox Hill Hospital, Northwell, New York."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7383-1284","authenticated-orcid":false,"given":"Diego L.","family":"Lima","sequence":"additional","affiliation":[{"name":"Department of Surgery, Montefiore Medical Center, Bronx, New York."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,6,10]]},"reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(03)14966-5"},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/ALN.0b013e3181c6316e"},{"key":"e_1_3_5_4_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2016.4952"},{"key":"e_1_3_5_5_2","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0b013e3182285e01"},{"key":"e_1_3_5_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/AAP.0000000000000451"},{"key":"e_1_3_5_7_2","doi-asserted-by":"publisher","DOI":"10.1111\/anae.13814"},{"key":"e_1_3_5_8_2","doi-asserted-by":"publisher","DOI":"10.1002\/9781119536604"},{"key":"e_1_3_5_9_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.n71"},{"key":"e_1_3_5_10_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.l4898"},{"key":"e_1_3_5_11_2","doi-asserted-by":"publisher","DOI":"10.1177\/0962280216669183"},{"key":"e_1_3_5_12_2","unstructured":"Rohatgi A. 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Effect of ultrasound-guided erector spinae plane block on pain after laparoscopic transabdominal preperitoneal repair: A prospective, double-blind, randomized controlled study. Altern Ther Health Med, 2024; 30(9):366\u2013374.","journal-title":"Altern Ther Health Med"},{"issue":"1","key":"e_1_3_5_20_2","first-page":"49","article-title":"Ultrasound-guided erector spinae plane block for open inguinal hernia repair: A randomized controlled trial","volume":"72","author":"Sakae TM","year":"2022","unstructured":"Sakae TM, , Mattiazzi APF, , Fiorentin JZ, et al. Ultrasound-guided erector spinae plane block for open inguinal hernia repair: A randomized controlled trial. 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